MISSISSIPPI ASTHMA & ALLERGY CLINIC PA

JACKSON, MS
NPI1902882251
Entity TypeOrganization
Authorized ContactDAVID L MOAK
Practice Administrator
601-354-4836
Organization Subpart ?No
Primary Taxonomy207K00000X Allergy & Immunology
Enumeration Date2005-12-19
Last Update Date2010-02-16
Business Address
MISSISSIPPI ASTHMA & ALLERGY CLINIC PA
1513 LAKELAND DR STE 100
JACKSON, MS 39216-4829
Phone number: 601-354-4836
Mailing Address
MISSISSIPPI ASTHMA & ALLERGY CLINIC PA
1513 LAKELAND DR STE 101
JACKSON, MS 39216-4829
Phone number: 601-354-4836
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